复方南星止痛膏外敷配合经皮激光椎间盘减压术治疗椎间盘源性腰痛的临床效果  

External application of Fufang nanxing zhitong Plaster combined With percutaneous laser disc decompression in the treatment of lumbar disc herniation

作　　者：都芳涛[1] 郑建红[1] 于德国 刘秀娟[1] 

机构地区：[1]聊城市第二人民医院骨一科,山东省临清市252600

出　　处：《中国医药》2014年第1期100-103,共4页China Medicine

摘　　要：目的探讨应用复方南星止痛膏配合经皮激光椎间盘减压术（PLDD）治疗椎间盘源性腰痛的临床疗效。方法将山东省聊城市第二人民医院2007年10月至2011年4月收治的98例椎间盘源性腰痛患者按照随机数字表法分为治疗组和对照组，每组各49例。治疗组行PLDD治疗，术后应用复方南星止痛膏；对照组行PLDD治疗，术后应用扶他林。比较2组患者的疗效、视觉模拟评分（VAS）、腰椎功能障碍指数（ODI）评分及并发症情况。结果术后1周治疗组有效率明显高于对照组[93．8％（46／49）比55．1％（27／49）]，差异有统计学意义（P〈0．01）；术后1、3、6个月2组有效率比较差异无统计学意义（P〉0．05）。2组患者治疗后VAS与ODI评分与治疗前比较[治疗组：（3．0±1．9）分比（6．4±1．2）分，（17．5±7．5）分比（47．1±8．3）分；对照组：（4．9±1．7）分比（6．4±2．8）分，（23．6±10．1）分比（47．0±7．9）分]，差异有统计学意义（P〈0．01）。治疗组治疗后VAS与ODI评分与对照组比较差异有统计学意义（P〈0．01）。治疗组并发症发生率[（18．4％（9／49）]明显低于对照组[61．2％（30／49）]，差异有统计学意义（P〈0．01）。结论应用复方南星止痛膏配合PLDD可明显提高患者的治疗有效率，改善疼痛状况及腰椎功能，且不良反应发生率低。Objective To study the therapeutic effect of Fufang nanxing zhitong plaster cooperated with percutaneous laser disc decompression （PLDD） in the treatment of discogenie back pain. Methods Ninety-eight eases of discogenic back pain in the Affiliated second people＇s hospital of Liaoeheng from October 2007 to April 2011 were divided into 2 groups by means of random number table： treatment group and control group with 49 cases in each group. The treatment group was given Fufang nanxing zhitong plaster after PLDD; the control group was given diclofenac sodium sustained release tablets after PLDD. The curative effect, visual analogue scale （VAS） score, ODI score and complications situation were compared. Results 1 week after operation, the excellent and good rate of the treating group was significantly higher than that of the control group [ 93.8% （46/49） vs 55.1% （27/49）]; there were significant differences between the two groups（P 〈0.01）; at 1 month, 3 months and 6 months after operation, excellent and good rate difference was not statistically significant between the 2 groups （ P 〉 0.05 ）. There were significant differences on VAS score and ODI score of two group after treatment compared with before group [ treatment group： （ 3.0 ± 1.9 ） scores vs （ 6.4 ± 1.2 ） scores, （ 17.5 ± 7.5 ） scores vs （47.1 ± 8.3）scores; control group： （4.9 ± 1.7） scores vs （6.4 ± 2.8） scores, （23.6 ± 10. 1 ） scores vs （47.0 ± 7.9） scores] （P 〈 0.01 ）, but the improvement range in treatment group was significantly better than that in control group （P 〈0.01 ）. The incidences of complication in treatment group （18.4% ,9/49 ）was significantly lower than that in control group （61.2% ,30/49） （P 〈 0.01 ）. Conclusion Fufang nanxing zhitong Plaster cooperated with PLDD is a valid method of treating discogenic back pain.

关 键 词：复方南星止痛膏 经皮激光椎间盘减压术 椎间盘源性腰痛 

分 类 号：R681[医药卫生—骨科学]